| NPI | 1245370873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA ETHEL GRANT Clinical Social Worker C 617-971-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: MA 1029674) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: MA 1029674) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |