| NPI | 1265971626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE H KASIMATIS CEO/Director Of Outpatient Services 617-481-8991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114423) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2018-01-09 |