| NPI | 1346397437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMJAD BAHNASSI Director 508-753-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 59555) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2018-11-06 |