| Doctor Name: | MARY C YOUNG |
| NPI Number: | 1023341179 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 169119 |
| Business Practice Address: | 137 Eleanor Dr Braintree, MA - 021843849 |
| Business Phone Number: | 7816546270 |
| Business Fax Number: | |
| Mailing Address: | 137 Eleanor Dr, BRAINTREE |
| State: | MA |
| Postal Code: | 021843849 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/08/2009 |
| NPI Last Update Date: | 09/08/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA0400X |
| License Number: | 169119 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |