| NPI | 1568185387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA ALMONTE Manager 617-221-8853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-10-17 |