| NPI | 1720423221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DEREK KANG Member 508-740-1091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 117069) |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |