| NPI | 1154569317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND H UNGERER Director 978-345-0953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MA 33670) |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2009-01-27 |