NPI | 1265033088 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICK KIFOKIE MULONDA Chief Executive Officer 978-620-8376 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Enumeration Date | 2020-11-06 |
Last Update Date | 2020-11-06 |