| NPI | 1538225370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE S. KLAVENS President 617-731-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MA MA 79467) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |