| NPI | 1164214235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NZINGA AJABU HARRISON Owner 617-419-0858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-07-22 |