| NPI | 1093508574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SACKETT-TAYLOR Psychiatric Nurse Practitioner 617-285-9258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-05-27 |