| NPI | 1295015048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MOAK Office Manager 508-898-8650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |