NPI | 1588710156 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA ELAINE DICKENS Clinician 508-668-7703 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2007-01-26 |
Last Update Date | 2020-08-22 |