| NPI | 1174803886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ANN LOOMIS Early Intervention Specialist 617-442-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: MA 261QC1500X) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |