| NPI | 1609761865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ROCKAS Md 781-315-6167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology Addiction Psychiatry |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |