| NPI | 1265837660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY J MAYERSON Clinical Social Worker 508-878-7429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 118496) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |