| NPI | 1417334376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M TOUCHETTE Practice Manager 888-658-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 109412) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2015-04-29 |