| NPI | 1013322064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY FRANCIS FORRISTER President 508-240-7964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 78006) |
| Enumeration Date | 2014-06-29 |
| Last Update Date | 2022-03-03 |