| NPI | 1518705961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER M KIERE Manager 781-215-4317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2024-11-18 |