| NPI | 1285348268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE JULIEN Nurse Practitioner 617-398-7119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-01-13 |
| Last Update Date | 2023-09-30 |