| NPI | 1720918204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA BERGUS Administrator 508-769-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-05-19 |
| Last Update Date | 2026-08-13 |