| 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 |