# CEREBRAL PALSY OF EASTERN MASS INCORPORATED

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

## Provider details

- **NPI number:** 1578942645
- **Authorized official:** MS. LORI RUSSELL (PROGRAM DIRECTOR)
- **Authorized official phone:** (781) 593-2727

## Contact information

- **Practice address:** 6 STRATIS WAY, PEABODY, MA 01960
- **Practice address phone:** (978) 223-3637
- **Mailing address:** 6 STRATIS WAY, PEABODY, MA 01960-2835
- **Mailing address phone:** (978) 223-3637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/22/2015
- **Last updated:** 05/22/2015