| NPI | 1639802614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTY YU President 617-991-9151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker | |
| 207RA0401X Internal Medicine Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2023-09-20 |