| NPI | 1992341838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYLLENE ARICE SAINTELIEN Nurse Practitoner 617-202-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 101YM0800X Counselor Mental Health | |
| 251S00000X Community/Behavioral Health | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2025-10-28 |