| NPI | 1760171508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA MYUNG PARK Manager/Employee 617-721-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |