| NPI | 1790836799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN RAUL CONDEMARIN Psychiatrist 617-626-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: MA 216179) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-11-07 |