| NPI | 1073841995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY H WILSON Co Owner 978-852-8042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111091) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 215746) |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2009-12-04 |