| NPI | 1043827132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NZINGA AJABU HARRISON Owner 617-419-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2021-01-14 |