| NPI | 1285091611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA LEGRAND Director 617-319-7203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MA 9407) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MA 9407) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-02-15 |