| NPI | 1972782530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES VALERI Director 508-626-1330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 5530) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |