| NPI | 1760626527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWARD KONKEL President 508-717-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1022691) |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2015-06-16 |