| NPI | 1962526566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI SORENSON Office Manager 508-872-6228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 110375) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |