| NPI | 1265989453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEENAKSHI VEMURI Authorized 508-418-6888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2024-01-10 |