| NPI | 1174975452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CLAYTON DANIELS CEO 617-708-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119702) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |