| NPI | 1225100241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH IRENE MALVEY Registered Nurse Clinical Specialis 617-591-6127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 145904) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-07-28 |