| NPI | 1992778781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART KOMAN President CEO 781-647-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: MA 679) |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2021-05-27 |