| NPI | 1891998720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BETTENCOURT President 617-869-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 13063) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 111335) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2018-03-19 |