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 |