| NPI | 1851500151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN MCCLELLAN Office Manger 617-387-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 164216) |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MA 36462) |
| 103T00000X Psychologist (Licence: MA 2351) | |
| 103TC1900X Psychologist, Counseling (Licence: MA 8277) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA 142070) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2025-09-11 |