| NPI | 1063744613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTAL F NOUVELLON Director 781-363-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 154583) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-04-26 |