NPI | 1053550335 |
---|---|
Entity Type | Organization |
Authorized Contact | SEDA EBRAHIMI Director 617-547-2255 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MA 2671) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2009-02-11 |