| NPI | 1184744120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL PATRICK WILGREN Program Director 781-646-1196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: MA 1903535) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2008-06-25 |