| NPI | 1063839702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA NATALIE GUARALDI Direct Care 508-238-2916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: MA 110026265) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MA 110026265e) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |