| NPI | 1730534868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENA B BUBRICK Owner 617-640-6883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MO 2015011214) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-05-19 |