| NPI | 1699043901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M HUMPHREY Developmental Specialist 508-421-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |