| NPI | 1750394219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON GANTMAN Chief Operating Officer 978-465-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1023367) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |