| NPI | 1255628632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL GARDNER Executive Director 508-542-7153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 103K00000X Behavior Analyst | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |