| NPI | 1194147033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JACOBSON Office Manager 508-791-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 116724) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |