| NPI | 1477672285 |
|---|---|
| Doing Business As | HARVARD VANGUARD MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DANEIL BURNES Interim Chief Executive Officer 617-559-8393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2015-06-26 |