| NPI | 1427417104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN LOWY Executive Director 617-435-4365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2022-10-06 |