| NPI | 1821564790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BANKS Psychiatric Np/Owner 781-427-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2024-07-17 |