| NPI | 1629377536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE T GOODING Social Worker 781-934-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 2029599) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |