| NPI | 1821569427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW GRANESE Clinician Owner 978-261-7640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2018-12-08 |
| Last Update Date | 2018-12-08 |