| NPI | 1356593743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS E PACHECO Physical Therapist Assistant 617-407-0592 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: MA 7620) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |