| NPI | 1528456498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN MEISTER Director 508-436-4432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 220429) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |