| NPI | 1548778681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELCHA BUCKMAN Owner 781-799-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family (Licence: ME 144001) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2019-04-05 |