| NPI | 1053772426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSEF ABOU-ALLABAN Medical Director 508-660-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2018-11-15 |