| NPI | 1710102769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN LAMORA DUTRA CEO 508-679-8511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MA 48X36) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2024-03-13 |