| NPI | 1396401873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMA M SHANMUGHAM Licensed Psychologist 617-990-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |