| NPI | 1073569372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE AIROSUS CFO 781-762-7764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 103TC0700X Psychologist, Clinical | |
| 363L00000X Nurse Practitioner | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |