| NPI | 1962893677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY JAMES DESMOND President 617-285-2601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113948) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-04-26 |