NPI | 1285750802 |
---|---|
Entity Type | Organization |
Authorized Contact | GERMANA A RICHARD Administrator 508-867-2062 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MA 1248) |
Enumeration Date | 2007-03-22 |
Last Update Date | 2020-08-22 |