Organization
CHARLES RIVER ASSOC. FOR RETARDED CITIZENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HILARY DIETRICH BS (V.P. OF THERAPEUTIC DAY SERVICES)
(781) 972-1007
Entity
Organization
Contact information
Practice address
989 CENTRAL AVE, NEEDHAM, MA 02492
(781) 444-4347
(781) 444-5146
Mailing address
59 DWIGHT RD, NEEDHAM, MA 02492
(781) 444-4347
(781) 444-5146
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1311913
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1311913
—
MA
Enumeration date
03/02/2007
Last updated
08/22/2020
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