| NPI | 1982221768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLYN DEFIORE Director Of Client Operations 508-340-1419 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2023-12-12 |