NPI | 1952708968 |
---|---|
Doing Business As | ADHD BOSTON |
Entity Type | Organization |
Authorized Contact | THOR CHRISTIAN BERGERSEN Medical Director 781-726-6698 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: MA 204123) |
Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: MA 204123) |
Enumeration Date | 2014-11-20 |
Last Update Date | 2014-11-20 |