| NPI | 1902349889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT A. ACKIL Owner/Authorized Official 508-238-3455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |