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 |