| NPI | 1699389486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA DIXON Owner 978-857-5317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261Q00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2022-11-14 |