| NPI | 1558602151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID NEWHOUSE Director 617-942-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1022200) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2013-03-06 |