NPI | 1417602111 |
---|---|
Doing Business As | OPTIMINDHEALTH |
Entity Type | Organization |
Authorized Contact | JOSEPH YERETSIAN President 617-507-1472 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-02-21 |
Last Update Date | 2022-02-21 |