| NPI | 1255642229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS L. MALONEY Clinic Coordinator 781-860-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: MA 168021) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2010-06-24 |