| NPI | 1316286230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN HAYNOR Manager 617-876-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 102523) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2013-02-13 |