| NPI | 1730304064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY KAHN .Clincial Director 617-390-1485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS 1031834) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-08-22 |