| NPI | 1144851791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA G. VIJAYAKANTHAN Provider/Owner 978-794-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2024-10-31 |