| NPI | 1174022693 |
|---|---|
| Doing Business As | ALLY INTEGRATED HEALTHCARE, PC |
| Entity Type | Organization |
| Authorized Contact | SUSAN S. WILKINSON President/Pmhnp Bc 617-600-4235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 2083A0300X Preventive Medicine, Addiction Medicine | |
| 363LC1500X Nurse Practitioner, Community Health | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
| Enumeration Date | 2018-02-10 |
| Last Update Date | 2024-03-04 |