| NPI | 1659958163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NZINGA AJABU HARRISON Owner & Chief Medical Officer 617-419-0858 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-03-29 |