Organization
CREST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM OLIVEIRA CAGS (EXECUTIVE DIRECTOR)
(978) 685-3000
Entity
Organization
Contact information
Practice address
9 BRANCH ST, METHUEN, MA 01844-1955
(978) 685-3000
Mailing address
9 BRANCH ST, METHUEN, MA 01844-1955
(978) 685-3000
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
11111
MA
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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