| NPI | 1689976201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVES BELLEVUE CEO 781-558-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |