| NPI | 1942592720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE GAIL TOMASZ Intensive Care Coordinator 508-902-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA s83087146) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |