| NPI | 1750633541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MIMI CASTELO Clinical Neuropsychologist 617-290-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO 3756) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-12-05 |