| NPI | 1790802510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH Administrator 413-737-2148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: MA 1058) |
| Enumeration Date | 2007-03-25 |
| Last Update Date | 2020-08-22 |