| NPI | 1063964351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE NDINYA Executive Director 508-615-1750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA WAUTI009-A) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: MA WAUTI009-A) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-06 |