| NPI | 1043529498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL CASTRO Executive Director 781-619-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |