| NPI | 1780820506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN PHOTHISANE Office Manager 978-934-9828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 42117) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |