| NPI | 1518703669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUNG DO Owner 617-699-9329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2025-05-28 |