| NPI | 1285910240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA MARIE BROWN-CLEMONS Director 413-426-4481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA RN2271184) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: CT 074820) |
| Enumeration Date | 2011-10-22 |
| Last Update Date | 2011-10-22 |