| NPI | 1518479039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACI SWEET President 508-579-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |