| NPI | 1780862193 |
|---|---|
| Doing Business As | DDS AUTISM WAIVER SERVICES |
| Entity Type | Organization |
| Authorized Contact | JEANETTE MAILLET Chief Financial Officer 617-624-7814 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2009-10-06 |