NPI | 1366612905 |
---|---|
Entity Type | Organization |
Authorized Contact | GWEN E OWEN Geriatric Clinician 978-373-1126 |
Organization Subpart ? | No |
Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: MA 113175) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2008-03-11 |