NPI | 1770055030 |
---|---|
Doing Business As | OPTIMINDHEALTH |
Entity Type | Organization |
Authorized Contact | JOSEPH YERETSIAN President 617-507-1472 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
Enumeration Date | 2018-12-27 |
Last Update Date | 2020-01-02 |