| NPI | 1619785516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORCAS ADENIYI Sole Owner & Pmhnp 617-217-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2024-12-23 |