| NPI | 1639473036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON M ADAMS Lpn 508-809-0545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: MA LN87437) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |