| NPI | 1083924013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ILEANA BERMAN Medical Director/Owner 508-222-0089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 71995) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MA 71995) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-19 |