| NPI | 1376011577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY KELLY LABRECQUE Owner/Provider 978-792-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2020-02-11 |