| NPI | 1629159462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ALLRED Vice President 978-355-4541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MA 1475136) |
| Additional Taxonomies | 251S00000X (Licence: MA 1475995) |
| 252Y00000X Early Intervention Provider Agency (Licence: MA 1475995) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2015-02-19 |