| NPI | 1295855856 |
|---|---|
| Doing Business As | SOUTH SUBURBAN SITE |
| Entity Type | Organization |
| Authorized Contact | SHARON COLE Site Director 617-626-9023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-08-27 |