NPI | 1265830061 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES GREENBLATT Chief Medical Officer 781-647-2901 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker | |
133V00000X Dietitian, Registered | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2014-12-10 |
Last Update Date | 2014-12-10 |