| NPI | 1487271664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LUCERO Owner 617-852-2446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2021-04-20 |