| NPI | 1396924627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART WACHTER President 978-371-9690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA 56398) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MA 4079) |
| Enumeration Date | 2007-11-03 |
| Last Update Date | 2007-11-03 |