| NPI | 1659732535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATOTOPA AUGUSTINE Bcba/Owner 508-733-6392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 1-10-7448) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |