| NPI | 1780966606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NKAJA VICTORIA OPARA Registered Pharmacist 781-483-3227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MA ph21276) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |