| NPI | 1295913747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS G JACOBS President 781-591-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 34367) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2023-11-16 |