| Organization Name: | SHRIVER CLINICAL SERVICES |
| NPI Number: | 1689918682 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PIERRE CHARLY DARIUS (NURSE PRACTITIONER) |
| Mailing Address: | 131 Emerald St Wrentham |
| State: | MA US |
| Postal Code: | 020931902 |
| Phone Number: | 7812791260 |
| Fax Number: | 7812794400 |
| NPI Enumeration Date: | 11/15/2012 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |