| NPI | 1821386251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN NESTOR Owner/Director 978-388-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 530) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |