| NPI | 1972668374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C KAISER CEO 781-778-0017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2024-06-06 |