| NPI | 1811755630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILICIA CAILLOT CEO 617-905-0428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |