| NPI | 1942510045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOLGA ATILLA CERANOGLU CEO 617-296-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MA 215949) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 215949) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |