NPI | 1073617353 |
---|---|
Entity Type | Organization |
Authorized Contact | MARINA KAGAN Billing Manager 781-761-5208 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
1041C0700X Social Worker, Clinical | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2006-09-08 |
Last Update Date | 2022-06-29 |