| NPI | 1619308467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE HEUFELDER Director 508-375-6616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MA RN225946) |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2016-02-24 |