| NPI | 1689377541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SEAN O'GARR Owner 508-579-1663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2024-05-21 |