| NPI | 1316589385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINELLE GARRAUD Adminstrator 978-720-8934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2023-11-24 |