| NPI | 1992134605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J. GATELY Owner 508-524-4179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 8723) |
| Enumeration Date | 2013-11-03 |
| Last Update Date | 2013-11-03 |