| NPI | 1467522151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE NONE KNIPE Outpatient Clinician 978-685-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1027340) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |