| NPI | 1578324174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIK AURORA Senior Vice President 617-838-8012 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |