| NPI | 1992381016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAGITTA WOODMAN Manager 508-560-0341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-03-19 |