| NPI | 1336473131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY COLUCCI Co Director 781-942-9277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115254) |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2009-09-25 |