| NPI | 1063010718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEATA LEWIS President 617-794-8391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2023-10-17 |