| NPI | 1649739434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL M MEOLA Supervisor 508-971-2668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-03-20 |