NPI | 1669696860 |
---|---|
Other Name | DAVIS MANOR |
Entity Type | Organization |
Authorized Contact | KAREN GUTHEIL Accounts Receivable 978-368-6478 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
251S00000X | |
Enumeration Date | 2007-04-12 |
Last Update Date | 2020-08-22 |