| NPI | 1033766407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAPATLADA MO Head Clinician 617-329-1938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2023-06-15 |