| NPI | 1225181860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE MARC-AURELE Credentials Coordinator 1978-352-2131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MA 28245) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |