| NPI | 1730077496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIS MELANSON Contracting/Credentialing Specialis 978-771-2832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |