| NPI | 1982499539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE PHYPERS Insurance Billing Specialist 781-956-7276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |