NPI | 1205052313 |
---|---|
Other Name | MASSACHUSETTS CENTER |
Entity Type | Organization |
Authorized Contact | FRAN WAGNER National Director, Accts Receivable 610-542-3084 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MA 147344) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2020-08-22 |