| NPI | 1831300623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LAWRENCE HIRSHBERG Executive Director 781-648-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: MA 1475111) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |