NPI | 1811305584 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANCE LESLIE President 413-582-6922 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1018753) |
Enumeration Date | 2014-07-25 |
Last Update Date | 2014-07-25 |