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 |