| NPI | 1699908756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO LEWIS Medical Director 617-724-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1020597) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |