| NPI | 1588314371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDY CRYSTAL BAKER Owner 508-216-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2022-03-25 |