| NPI | 1699492470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE ROLLANDE CLAUDOMIR Clinic Director 781-885-7530 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2023-02-16 |