| NPI | 1932574274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS SUAREZ Psychiatrist 617-992-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 236475) |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MA 236475) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MA 236475) | |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2015-12-12 |