| NPI | 1922726173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN MACNEIL Nurse Practitioner 978-255-4871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2023-01-23 |