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 |