| NPI | 1033603477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE FALCHUK Managing Member 617-823-7317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 58874) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |