| NPI | 1760993554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A SOLDEVILLA Partner 508-610-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115897) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |