| NPI | 1205934924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA YANOVSKY Owner 781-893-8762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MA 50268) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |