| NPI | 1497715536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER KENNEDY Credentials COO Rdinator 01149931-804-3616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 111104) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-08-22 |