| NPI | 1881355436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL ROBERT DONADIO Owner 781-367-2692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |