| NPI | 1750415030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN F. GOLDEN Executive Director 508-674-4847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MA 1475744) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |