| NPI | 1285330043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN ANN CAVANAUGH Owner 781-205-9496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2023-02-03 |