| NPI | 1770811408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE RUPRECHT Owner 508-577-2713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 113117) |
| Enumeration Date | 2009-11-18 |
| Last Update Date | 2009-11-18 |