| NPI | 1972924371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA C RANGE Owner 781-767-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 5509) |
| Enumeration Date | 2014-01-02 |
| Last Update Date | 2014-01-02 |