| NPI | 1073897617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA BROOKE DAVID Clinicial Social Worker 978-466-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114984) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2011-09-30 |