| NPI | 1649466582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A. SABIAN Director 508-655-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 2024) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-09-24 |