| NPI | 1740099738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAREK JOHN HIRSCH Authorized Official 781-771-4285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-09-19 |