| NPI | 1598299133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET MANNING Owner 508-475-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MA 9082) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2017-04-19 |