| 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 |