| NPI | 1043235534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JUSTIN LALIBERTE President 866-635-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 100058) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |