| NPI | 1861730715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A DE LA ROSA CEO 617-477-8290 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2024-11-08 |