| NPI | 1528857281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEN MWANGI Director 508-713-3572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |