NPI | 1306382833 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE BOWDEN Owner 508-821-0607 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 119390) |
Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: MA RN215314) |
Enumeration Date | 2017-01-08 |
Last Update Date | 2017-01-08 |