| NPI | 1265834766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA GARCON Owner 508-580-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: MA s50130595) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2020-04-28 |