| NPI | 1326053786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LALITH M. TISSERA Medical Director 781-224-0661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 81635) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2016-02-29 |