| NPI | 1417778895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENITA QUALLS CEO 781-436-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 177F00000X Lodging |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |