| NPI | 1770783649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE EDWARD CIARAMELLA Director 978-853-4508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MA NAS006) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |