| NPI | 1093377418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRIE ANN CUSACK Owner/Clinical Social Worker 774-571-9069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-08-29 |