Individual provider · Type 1 NPI
Mohammed Eisa
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Boston, MA
Practice location
759 Bennington St, 1
Boston, MA 02128-1133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1245609064
Mohammed Eisa's National Provider Identifier is 1245609064, issued on Sep 22, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Boston, MA. The record was last updated on Sep 22, 2015.