| NPI | 1255749289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNAK KHACHATRYAN Administrative Manager 508-857-1466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |