| NPI | 1699528950 |
|---|---|
| Doing Business As | CLEMENTINE NORTH SHORE |
| Entity Type | Organization |
| Authorized Contact | EDWARD MOODY Chief Financial Officer 571-334-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |