| NPI | 1457642894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE KIMI MIURA Owner 978-594-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 81163) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2011-04-19 |