| NPI | 1962598136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E JOHNSON VP Finance 781-297-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X (Licence: MA 2250) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: MA 2250) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |