NPI | 1982221768 |
---|---|
Entity Type | Organization |
Authorized Contact | CAITLYN DEFIORE Director Of Client Operations 508-340-1419 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2020-06-29 |
Last Update Date | 2023-12-12 |