| NPI | 1790678530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE MAINA Executive Director 774-253-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |