| NPI | 1821065640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY C DEANS Acting Medical Director 508-660-7949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2020-08-22 |