| NPI | 1699143180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSEF ABOU-ALLABAN President 508-660-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2020-09-18 |