| NPI | 1598967762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY CROWLEY Vice President Of Operations,East 781-356-6330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: VA 864) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2010-06-17 |