| NPI | 1952480352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY ELIZABETH JOHNSON Phd Nurse Therapist 781-878-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 171110) |
| Enumeration Date | 2006-11-04 |
| Last Update Date | 2020-08-22 |