NPI | 1477600831 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN LASH Director Of Reimbursement 781-647-5327 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2007-01-05 |
Last Update Date | 2020-08-22 |