| NPI | 1144332115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGARDO CASTRO ANGELES Clinical Psychiatrist 508-923-3427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 5288) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: MA 8127) |
| 1041C0700X Social Worker, Clinical (Licence: MA 112239) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 76522) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 158354) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 81052) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-09-06 |