| NPI | 1679322564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YIXI DONG Psychiatric Nurse Practitioner 617-631-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-07-30 |