| NPI | 1467903344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE-CLAIRE CORNILLON Social Worker 617-504-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: RI ISW02592) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |