| NPI | 1689249633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALANA NAGLE CEO 617-453-8657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |