NPI | 1831632595 |
---|---|
Entity Type | Organization |
Authorized Contact | MACKENZIE JENNINGS Credentialing Specialist 617-454-4916 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA G84327) |
Enumeration Date | 2016-11-29 |
Last Update Date | 2016-11-29 |