| NPI | 1265450704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C JOHNSTON CFO 617-713-2263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology Geriatric Psychiatry | |
| 2084P2900X Psychiatry & Neurology Pain Medicine | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-04-07 |