| NPI | 1104977131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA SALZMAN Director Of Home Base Program 781-891-0556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 104386) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-08-22 |