| NPI | 1629400478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CLANCY Direct Owner 508-877-6318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA RN159848) |
| Enumeration Date | 2013-08-04 |
| Last Update Date | 2013-08-04 |