| NPI | 1871639765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGO KNAPP Owner 781-764-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX F6831) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C41616) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 72103) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 72103) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: TX F6831) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C41616) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |