| NPI | 1447874284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UJALA FAWAD Medical Director 508-206-8578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 103T00000X Psychologist | |
| 2084P0015X Psychiatry & Neurology, Psychosomatic Medicine | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2022-12-28 |