| NPI | 1306142096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PROVENCHER Administrator 781-297-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283X00000X Rehabilitation Hospital (Licence: MA 965) |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |