| NPI | 1992136733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GASTON M POUFONG Director 617-319-4557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: MA 00000) |
| Additional Taxonomies | 251B00000X Case Management (Licence: MA 00000) |
| 251E00000X Home Health (Licence: MA 00000) | |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-04 |