| 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 |