| NPI | 1114404449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELL PEIKEN President 978-406-9043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |