| NPI | 1316762743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PASCALE Psychiatric Nurse Practitioner 617-468-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |