| NPI | 1053716829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PETRARCA Executive Director 781-638-1020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |