| NPI | 1740590017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARY THOMPSON Clinical Coordinator 781-895-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-10-20 |
| Last Update Date | 2011-03-17 |