| NPI | 1679742563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JEANNE MYERS-POITRAS Hsc C 508-235-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 4119) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-02-25 |