| NPI | 1285103028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA AMELIA CETOLA Director 508-281-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-11-22 |
| Last Update Date | 2023-11-30 |