NPI | 1386191807 |
---|---|
Entity Type | Organization |
Authorized Contact | COLLEEN CHAUSSE Nurse Practitioner 781-932-8114 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: MA 208292) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |