| NPI | 1760909279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO A MUJICA President 617-964-6681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2021-09-01 |