| NPI | 1457747826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TROUP President 781-389-9138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MA RN251242) |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2015-10-23 |