| NPI | 1194311449 |
|---|---|
| Other Name | AVRA VALLEY RELIANCE BEHAVIORAL HOME LLC |
| Entity Type | Organization |
| Authorized Contact | CATHERINE KAMWITHI Manager/Owner 978-729-2869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2021-04-28 |