| NPI | 1700964947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNNE OLSEN-VIEIRA Center Director 508-235-7400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MA EXEMPT) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2023-05-02 |