| NPI | 1326286873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY D. REDIGER Psychiatrist 774-419-1017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 159462) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MA 170600) |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: MA 133760) | |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2014-04-18 |