# MINUTE MAN ARC EARLY INTERVENTION PROGRAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003090408
- **Authorized official:** ALEX CHATFIELD (DIRECTOR)
- **Authorized official phone:** (978) 287-7951

## Contact information

- **Practice address:** 1269 MAIN ST, CONCORD, MA 01742-3099
- **Practice address phone:** (978) 287-7800
- **Mailing address:** 1269 MAIN ST, CONCORD, MA 01742-3099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | SP 6513-SL | MA | Yes |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 12/20/2007