| NPI | 1871071266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE DENEAULT Therapist 781-234-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 115884) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |