| NPI | 1225261589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MACCUMASCAIGH Administrative Coordinator 617-665-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: please use n/a) |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2009-09-02 |