| NPI | 1114053782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN FAYARD SKINNER Administrator 617-371-4715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital Children (Licence: MA 2316) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2017-09-07 |