| NPI | 1104497767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCIS HURLEY COO/CFO 508-523-9981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103TS0200X Psychologist, School |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 261QS1000X Clinic/Center, Student Health | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-10-01 |