| NPI | 1578324174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN LACLAIR Financial Controller 781-853-7486 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2026-06-23 |