| NPI | 1154054393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY KATHERINE MONICH Director Of Operations 617-764-6430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2022-07-06 |