| NPI | 1720432990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WOOMENDY JEAN Intensive Care Coordinator 617-331-3857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |