NPI | 1578128815 |
---|---|
Entity Type | Organization |
Authorized Contact | MEREDITH MORGAN Controller 774-353-9201 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
Enumeration Date | 2019-05-02 |
Last Update Date | 2019-05-02 |