| NPI | 1518395284 |
|---|---|
| Doing Business As | CADRE IDEAL |
| Entity Type | Organization |
| Authorized Contact | SONIE CYPRIEN Manager 617-755-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-11-01 |