Bountiful Mental Health, PLLC
Psychiatry & Neurology, Child & Adolescent Psychiatry in Brookline, MA. Organization (NPI-2).
NPI number1316628720
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1316628720
- Entity type
- Organization (NPI-2)
- Legal business name
- Bountiful Mental Health, PLLC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2023
- Certification date
- Jul 27, 2023
- Last updated
- Jul 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | Yes |
Practice location
43 Naples RdBrookline, MA 02446-5768
Phone 617-520-4854
Mailing address
43 Naples RdBrookline, MA 02446-5768
Phone 617-520-4854
Authorized official
Diana Deister
Owner
2108572311
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