| NPI | 1558893487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY BURKE Ms PT 617-359-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 0283541) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |