| NPI | 1861944969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY CARLSON Owner 781-964-9446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: RI APRN01440) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |