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 |