| NPI | 1396783379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA HORNER President 617-204-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: CA FNP29645) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-05-26 |