| NPI | 1689792673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA DELGADO Adminstrator 508-997-0794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 4362) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |