Organization
G CORE 24
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GOODRICH (OWNER/PROGRAM MANAGER)
(774) 232-2504
Entity
Organization
Contact information
Practice address
5 PINEHURST AVE, AUBURN, MA 01501-1227
(978) 751-4079
Mailing address
5 PINEHURST AVE, AUBURN, MA 01501-1227
(978) 751-4079
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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