NPI | 1063549962 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIE GLORIEUX VP Of Finance 617-524-3116 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MA 1475185) |
Additional Taxonomies | 251S00000X |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: MA 4636) | |
322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
Enumeration Date | 2007-02-27 |
Last Update Date | 2018-03-17 |