| NPI | 1891349155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NZINGA A HARRISON Owner 781-230-6838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 207QA0401X Family Medicine Addiction Medicine | |
| 2083A0300X Preventive Medicine Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2025-03-24 |