NPI | 1740405083 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN PATRICIA CONDON Psychotherapist 508-240-0092 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 4767) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-08-22 |