| NPI | 1265771141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W FERRELL Owner 781-591-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2013-02-12 |