| NPI | 1891780144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C GALE CFO 617-469-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 103TC0700X Psychologist, Clinical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2020-08-22 |