| NPI | 1568458875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASSUNTA BURN Administrator 508-853-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-08-22 |