| NPI | 1659408854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS-ANN MORRISSEY Program Director 978-927-9260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 113058) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-08-11 |