| NPI | 1427329283 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDY POND Executive Director 617-450-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MA 216661) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |