| NPI | 1184163057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE STAITI Marketing And Referrals Specialist 978-355-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MA 9020016) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MA 9020017) |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MA 9020018) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |