| NPI | 1790642122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH NAKATO Authorized Official 781-325-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-01-07 |
| Last Update Date | 2026-01-07 |