| NPI | 1467103911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRAV DALAL CEO 617-775-3429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101Y00000X Counselor |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-01-17 |