| NPI | 1629193776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT STRULLY Executive Director 508-481-1015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 02760820) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MA 5343) |
| 252Y00000X Early Intervention Provider Agency (Licence: MA 02760820) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2012-01-11 |