| NPI | 1194963223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY BREDIN Program Director 617-371-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MA S82028334) |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |