NPI | 1457037921 |
---|---|
Doing Business As | OVERRIDE |
Entity Type | Organization |
Authorized Contact | RONALD F DIXON President 617-312-6914 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 103T00000X Psychologist |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2023-06-27 |
Last Update Date | 2025-06-26 |