| NPI | 1396516381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY GARVIN Nurse Practitioner 617-650-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-05-22 |