| NPI | 1750594958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA BURKE Director 978-969-2894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2017-01-23 |