| NPI | 1811741739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH NEAL CFO 508-628-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |