| NPI | 1831985845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KIERE Director 978-881-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-16 |