| NPI | 1639436918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEWS THOMAS Director 617-947-8897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 230794) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MA 230794) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MA 230794) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: MA 230794) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2024-01-19 |