| NPI | 1376636068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN FOSS Chief Operating Officer 508-821-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 261QM0801X (Licence: MA 4426) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MA 1475210) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MA 1474910) | |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: MA 1475604) | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: MA 1475640) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |