| NPI | 1639224157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI PARKER Co Director Of Clinical Services 508-485-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2009-11-10 |