| NPI | 1417289489 |
|---|---|
| Other Name | ICCD MEDICAL DIVISION |
| Entity Type | Organization |
| Authorized Contact | KATHY FEHILY Financial Manager 781-619-1516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-02 |