| NPI | 1972722551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY STEWART MAURER Mental Health Clinician 978-744-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |