| NPI | 1730442179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART KOMAN CEO / Owner 781-647-6701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-10-04 |