| NPI | 1285207126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENELLE CHRISTIAN Nurse Practitioner 781-385-0319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-08-09 |