NPI | 1629193776 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT STRULLY Executive Director 508-481-1015 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (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 |