| NPI | 1497434294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM LEGERE President/Owner 978-504-2104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |