| NPI | 1407978018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEIDI L PORTER Director 781-275-6507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2025-05-19 |