| NPI | 1528504495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE R TUFTS Sole Member 978-870-8158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 119558) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2017-01-16 |