| NPI | 1578273975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MATTHEWS Sr. VP Of Business & Finance 508-983-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| 251S00000X | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2023-02-16 |