| NPI | 1376222422 |
|---|---|
| Former Legal Business Name | CEREBELLA: THE GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | DANIEL S. BARRON Manager 617-249-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2025-04-25 |