| NPI | 1063468551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J. SCHLICKMAN President/Director 508-831-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 70610) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |