| NPI | 1902002330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN LAZERSON Owner 508-653-4741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 26359) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |