| 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 |