| NPI | 1386847085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA S. PHILIP-JOHNSON CEO 781-572-2722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: TX 24774401) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |