| NPI | 1114357647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE PADYMOISE Director 617-462-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
| 385H00000X Respite Care | |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |