| NPI | 1548862162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA R MENDEL Psychiatrist 781-472-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2024-07-29 |