| NPI | 1124535729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA BODROGNE SZABO Owner 508-484-3251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 233962) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| 167G00000X Licensed Psychiatric Technician | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MA 233962) | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine (Licence: MA 233962) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MA 233962) | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-06-16 |