NPI | 1851763551 |
---|---|
Entity Type | Organization |
Authorized Contact | VENITA N QUALLS Owner 978-398-8780 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2015-10-21 |
Last Update Date | 2022-07-22 |