| NPI | 1265967350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA FOSCHI Director 508-680-6107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MA CH-1808) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MA X007426) |
| 111NN1001X Chiropractor, Nutrition (Licence: MA CH-1808) | |
| 111NN1001X Chiropractor, Nutrition (Licence: NY X007426) | |
| 273Y00000X Rehabilitation Unit (Licence: MA CH-1808) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: MA CH-1808) | |
| 302R00000X Health Maintenance Organization (Licence: MA CH-1808) | |
| 302R00000X Health Maintenance Organization (Licence: NY X007426) | |
| 305R00000X Preferred Provider Organization (Licence: MA CH-1808) | |
| 305S00000X Point of Service (Licence: NY X007426) | |
| 385H00000X Respite Care (Licence: MA CH-1808) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |