Department of Developmental Services
NPI #1750504064 in Southbridge, Massachusetts
Provider Information
- NPI Number
- 1750504064
- Entity Type
- Organization
- Organization Name
- Department of Developmental Services
- Primary Specialty
- Case Management
- Enumeration Date
- Apr 11, 2007
- Last Updated
- Sep 30, 2009
Practice Location
- Address
- SO VALLEY CM
- Address 2
- 79 NOTHE ST STE 2
- City
- Southbridge
- State
- Massachusetts
- ZIP Code
- 01550
- Phone
- (508) 764-5304
Authorized Official
- Name
- JEANETTE MAILLET
- Title
- C F O
- Phone
- (617) 624-7814
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Management |
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