Organization
FUNCTIONAL PSYCHIATRY AND INTEGRATED MEDICINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA KIM (DIRECTOR)
(201) 328-2331
Entity
Organization
Contact information
Practice address
200 CORDWAINER DR # 304, NORWELL, MA 02061-1671
(781) 546-2968
Mailing address
200 CORDWAINER DR # 304, NORWELL, MA 02061-1671
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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