| NPI | 1750785895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIKA ROOTS Owner 617-308-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |