| NPI | 1790842052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY JENEE RUTHERFORD President 508-438-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 110648) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |