| NPI | 1013294479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONN QOUC CAO Clinical Sociologist 617-697-9392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115873) |
| Enumeration Date | 2011-11-12 |
| Last Update Date | 2011-11-12 |