| NPI | 1811042153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN A OSHLAG Vice President Of Operations 508-860-1163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |