NPI | 1811904394 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH A O'KEEFE Business Manager 508-763-3737 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MA 1475569) |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MA 1475569) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2020-08-22 |