| NPI | 1235403114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK MICHAEL GEORGE Case Manager 508-822-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: MA s17518236) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |