| NPI | 1487004883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUONG MADRIGAL Owner 781-341-6326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA RN280868) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MA RN280868) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |