| NPI | 1174355408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN J GOLD Owner And Founder 617-416-8369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |