| NPI | 1598187163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW B MATHEW Owner 781-416-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 246252) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |