NPI | 1215295597 |
---|---|
Entity Type | Organization |
Authorized Contact | GABRIELLE P ABELARD President 617-721-1153 |
Organization Subpart ? | No |
Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: MA 231520) |
Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 231520) |
Enumeration Date | 2012-04-24 |
Last Update Date | 2021-01-12 |