| NPI | 1184584591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA M BOLTON Owner/Sole Employee Of LLC 617-699-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-11-17 |