| NPI | 1881186369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY PATRICIA MELGUIZO Owner 617-816-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA RN2259385) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |