| NPI | 1831629286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIANA RODRIGUES Manager 617-304-8715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282J00000X Religious Nonmedical Health Care Institution |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |