| NPI | 1114132545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY GOLDSTEIN Director 978-682-1579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 102691) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-06-17 |