| NPI | 1790118388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIC VERGNE Behavioral Management Monitor 508-580-4691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |