| NPI | 1730622614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX EYDINOV Manager 413-241-0463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA 110112919B) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |