| NPI | 1265828768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M LEARY Senior Staff Accountant 617-524-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MA 1475185) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |