| NPI | 1114561776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPARSHA REDDY Business Owner 617-404-9735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2022-01-21 |