| NPI | 1053073940 |
|---|---|
| Former Legal Business Name | ESHCOL BEHAVIORAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | AKHERE GWAN Psychiatric Nurse Practitioner 617-461-3856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2021-11-03 |