| NPI | 1346567534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A GOODNOW Clinical Social Worker 508-393-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 105264) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2010-04-27 |