| NPI | 1669728614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY B. RENNER Vocational Counselor 978-275-3879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 0003192) |
| Enumeration Date | 2012-07-27 |
| Last Update Date | 2012-07-27 |