| NPI | 1851561120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE FINCH Director Of Admissions/Utilization 781-643-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: MA BMS007) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-04-20 |