| NPI | 1356156699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KIARIE Owner 508-963-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |