| NPI | 1376900167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE VELIZ Owner 781-848-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 104100000X Social Worker | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2026-01-20 |