| NPI | 1275137366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARON A BIXBY Authorized Official/Owner 978-609-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |