Organization
DYNAMIC SUPPORT TEAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAINARD NGIGI HINGA (DIRECTOR)
(978) 551-5167
Entity
Organization
Contact information
Practice address
20 COMMERCIAL DR, DRACUT, MA 01826-2837
(978) 258-9722
Mailing address
20 COMMERCIAL DR STE 2013, DRACUT, MA 01826-2837
(978) 551-5167
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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