| NPI | 1114969169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY HARRINGTON Managed Care Analyst 617-355-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 281PC2000X Chronic Disease Hospital Children (Licence: MA 112039) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |