| NPI | 1982128914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PAUL SIMEONE Owner 617-981-0426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: RI MD15006) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |