| NPI | 1255016630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA MARCELLUS Psych/Mental Nurse Practitioner 781-285-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-22 |