| NPI | 1518164508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN B. FITZGERALD Clinic Director 781-393-5150 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MA 404J) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2012-06-01 |