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 |