| NPI | 1457476095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY BESARDI Administrator 508-867-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA 1247) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |