| NPI | 1861627317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LOUISE NELSON Owner/Manager/Sole Proprietor 978-338-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 78498) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-10-13 |