| NPI | 1952586034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREJA PACKARD Owner 978-537-0493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 209020) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2008-06-24 |