| NPI | 1851625420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA ELIZABETH AMARAL Program Director 508-207-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |