| NPI | 1700582319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA PULLEN BUSCH Owner/Psychiatrist 617-383-4405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |