| NPI | 1972911824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE MCGRANE Office Manager 978-535-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: MA RN101598) |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2016-11-18 |