| NPI | 1659933372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY RISOTTI Vice President Of Operations 508-740-6803 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |