| NPI | 1912324369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL NII LAMPTEY Treatmnet Coordinator 774-228-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |