| NPI | 1205229838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J BOYLSTON Clinical Social Worker 413-443-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA LICSW107315) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-05-12 |