| NPI | 1942363510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLIE LEAH CESARINI Clinician 508-679-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2024-04-29 |