| NPI | 1649729021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MANUEL Psychologist 774-420-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2023-08-01 |