| NPI | 1720344450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER ROSE LANDRY Residential Skills Specialist 774-364-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |