| NPI | 1912298027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TSAPPIS Agent 978-922-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113055) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 223765) |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |