| NPI | 1114166188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT T. OOSTERMAN President 781-665-3188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA 725) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |