| NPI | 1871960575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA KANE Biller 978-289-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI ISW02133) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: RI ISW02080) |
| 1041C0700X Social Worker Clinical (Licence: RI ISW02427) | |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2025-08-20 |