| NPI | 1497951354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN SMITH President 617-970-4472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA 173162) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |