| NPI | 1215348792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK NOAH STRECKER President 781-652-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 56908) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 5860) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 56908) | |
| Enumeration Date | 2014-05-18 |
| Last Update Date | 2014-05-18 |