| NPI | 1881290880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL LEVY Managing Member 774-777-9494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2020-12-07 |
| Last Update Date | 2022-10-31 |