| NPI | 1871700849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M KILROY Program Coordinator 508-984-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |