| NPI | 1841741501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT S AMEIDA President 617-838-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2016-10-18 |