| NPI | 1801107917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE DESHIAES Residential Therapist 978-682-5276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MA 1024070) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |