| NPI | 1922700426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAISY RUTH CASSIDY Member 978-482-7571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |