| NPI | 1194884619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAT KENNEDY Administrative Assistant 781-648-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MA 1475112) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |