| NPI | 1366794505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DOROTHY WEISE Director, President 508-397-9042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 116365) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |