| NPI | 1215528641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDEEP KAUR Chief Administration Officer 781-469-5320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2022-03-08 |