| NPI | 1568738292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE PHYPERS Insurance Billing Specialist 617-491-2070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2018-09-04 |