| NPI | 1841554300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAVEN FYFE-KIERNAN Owner And Operator 617-775-5373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 114084) |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |