| NPI | 1730245309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LOUIS GOODMAN President 781-453-2625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 38631) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2011-04-04 |