NPI | 1821159880 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAUDETTE KELLY Billing Director 508-583-6498 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 4695 DPH) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-02-10 |