| NPI | 1275161317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARAH DESROSIERS Np Psych/Mental Health 617-953-0736 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |