NPI | 1104077544 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK BAUER Program Director 774-826-2456 |
Organization Subpart ? | No |
Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MA 233250) |
Enumeration Date | 2008-10-03 |
Last Update Date | 2008-10-03 |