| NPI | 1184708091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN LASH Director Of Reimbursement 617-227-6641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 4501) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |