| NPI | 1942668165 |
|---|---|
| Doing Business As | OPTIMINDHEALTH |
| Entity Type | Organization |
| Authorized Contact | JOSEPH YERETSIAN President 617-507-1472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: CO DR.0056212) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2020-01-02 |