| NPI | 1689031106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L TAUBE Executive Director 857-654-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 220519) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |