| NPI | 1174257919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE A DELISLE Owner 781-924-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |