NPI | 1093851115 |
---|---|
Doing Business As | HARVARD VANGUARD MEDICAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | DANIEL BURNES Interim Chief Executive Officer 617-559-8393 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2015-06-24 |