| NPI | 1285980797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERI WILCOX Finance Manager 800-258-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: MA 9006463) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |