| NPI | 1477377539 |
|---|---|
| Former Legal Business Name | LUCID BEHAVIORAL HEALTH SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | KENNEDY TAMBI CEO 781-799-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-12-17 |