| NPI | 1144687260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY M SPADER Therapist 617-314-5345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NC C008069) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-01-20 |