| NPI | 1235674375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART KOMAN CEO/President 781-647-6767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2019-05-30 |