| NPI | 1750775581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY P MARCHETTI CEO 774-696-4110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2015-07-15 |