| NPI | 1649163650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA WEBSTER Nurse Practitioner 978-404-1722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-05-29 |
| Last Update Date | 2025-05-29 |