NPI | 1225242845 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA L. MOULTRUP Director 617-993-2723 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MA 251K00000X) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2008-06-12 |