| NPI | 1336950658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMELLA GRANARA Psychiatric Mental Health A RN P 617-500-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-04-25 |