| NPI | 1205137056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT WALLACE DECKEL Neuropsychologist 508-393-3820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 8183) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MA 8183) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |