| NPI | 1659727592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WILLIAM OCONNOR President 781-305-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: MA 72453) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 8348) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 154171) | |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2017-11-15 |