| NPI | 1235620683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CORLISS In Home Therapist 508-894-4945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |