| NPI | 1083732168 |
|---|---|
| Doing Business As | B U FULLER IRTP |
| Entity Type | Organization |
| Authorized Contact | PAUL SCOPA Asst Director Of Non Inst Reimburse 617-886-8089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |