| NPI | 1962708693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MARTINEZ Owner/Program Director 781-866-9497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 112033) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MA 112033) |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2011-01-27 |