| NPI | 1588091441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCIE L EVANS Managing Member 508-825-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 110335) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2015-05-08 |