| NPI | 1912150988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON GEORGE LOHNES President 774-535-1007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA Mental Health #1297) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |