NPI | 1144731225 |
---|---|
Entity Type | Organization |
Authorized Contact | OMAR S HAQUE Owner/Authorized Official 617-855-7288 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2017-10-17 |
Last Update Date | 2017-10-17 |