| NPI | 1053043679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESE M BINYAME Psychiatry Mental Health Nurse Prac 978-400-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2022-06-30 |