| NPI | 1609160621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICLETA SMITH Supervisor 617-541-1274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: MA 0027685700) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2011-06-07 |