NPI | 1508240151 |
---|---|
Doing Business As | COPERNICAN CLINICAL SERVICES |
Entity Type | Organization |
Authorized Contact | DAVID ANTHONY PERNA Owner/President 617-244-2700 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 7172) |
Enumeration Date | 2015-07-14 |
Last Update Date | 2015-07-14 |