| NPI | 1891148508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBER O'CONNELL Owner 978-460-4575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 0372) |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |