| NPI | 1588059307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN SHEA Ap RN 774-238-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN229451) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2020-07-16 |