| NPI | 1023999604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SERYNA DESIR Administrator 781-580-0371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2026-08-14 |