| NPI | 1760719553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL ORTIZ Youth Mentor 781-274-6800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |