| NPI | 1760887434 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | UMER SAYEED-SHAH President 617-934-2020  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) | 
| Enumeration Date | 2014-10-23 | 
| Last Update Date | 2015-03-24 |