| NPI | 1255842969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERI ANNE REARDON President/Owner 774-404-7859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 119812) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2017-10-25 |