| Organization Name: | GOSNOLD, INC. |
| NPI Number: | 1063716306 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RAYMOND V TAMASI (CEO) |
| Mailing Address: | 200 Ter Heun Dr Falmouth |
| State: | MA US |
| Postal Code: | 025402525 |
| Phone Number: | 5085406550 |
| Fax Number: | 5085407480 |
| NPI Enumeration Date: | 12/30/2010 |
| NPI Last Update Date: | 12/30/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 4600 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |