| NPI | 1114206000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JULES VAN WITTENBERGHE President 781-595-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 40259) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |