| NPI | 1487381729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAYDAN ALI MOHAMED Owner 781-888-4563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |