| NPI | 1104019249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY EDWARD RAYNES Psychiatrist 617-390-1204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 37037) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |