| NPI | 1073946273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LEE CRIMMINS Director Of Clinical Services 508-735-6621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117714) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-12 |