| NPI | 1053608117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA A BERRY Physician 508-699-9417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 71562) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2019-04-15 |