| NPI | 1194122119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ALLRED Vice President 978-355-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MA 8030660) |
| Enumeration Date | 2014-11-20 |
| Last Update Date | 2014-11-20 |