| NPI | 1548681356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE J DUNLEAVY Therapist 508-764-2758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 6698) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |