NPI | 1265820070 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA CAMILLE MELLANO Owner, President 617-913-3898 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111055) |
Enumeration Date | 2014-12-31 |
Last Update Date | 2023-09-29 |