| NPI | 1841514122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHREE PETTIGREW Owner 781-436-3352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 251E00000X Home Health |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2025-10-17 |