NPI | 1669879367 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL D ALEMAYHEU Administrator/Clinical Director 978-677-7823 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 4C3D) |
Additional Taxonomies | 253Z00000X In Home Supportive Care |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MA 4C3D) | |
Enumeration Date | 2014-11-24 |
Last Update Date | 2024-03-07 |