| NPI | 1700155058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN ARCHAMBAULT Clinician 508-224-6392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |