NPI | 1336696343 |
---|---|
Entity Type | Organization |
Authorized Contact | JIHAD BASSAM NADER CEO 774-826-6765 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 244643) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2016-09-07 |