| NPI | 1669840930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G. MICHAEL MAHONEY Partner 978-494-2171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |