| NPI | 1225409253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY PATRICIA GOFFREDO Clinical Social Worker 508-313-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117465) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |