Organization Name: | NEURO BEHAVIORAL CENTER |
NPI Number: | 1053772426 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YOUSEF ABOU-ALLABAN (CEO) |
Mailing Address: | 420 Main St Suite 14 Walpole |
State: | MA US |
Postal Code: | 020813753 |
Phone Number: | 5086601666 |
Fax Number: | 5086601667 |
NPI Enumeration Date: | 03/14/2016 |
NPI Last Update Date: | 03/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |