NPI | 1386195030 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHA MEDALIE Executive Vice President 781-320-5328 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: MA 115639-SW-LICSW) |
Enumeration Date | 2016-10-18 |
Last Update Date | 2016-10-18 |