| NPI | 1134959893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIAM PATRICK MAHONEY Owner/Medical Director 781-469-5055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2025-10-01 |