NPI | 1376661835 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL JOSEPH Administrator 413-737-2148 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA 1358) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |