# HERITAGE HEALTH SYSTEM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821780818
- **Authorized official:** OLUBUNMI OLAIDE OLAWALE DNP, PMHNP-BC (NP)
- **Authorized official phone:** (781) 742-0834

## Contact information

- **Practice address:** 21 MAYOR THOMAS J MCGRATH HWY STE 306, QUINCY, MA 02169-5351
- **Practice address phone:** (781) 742-0834
- **Practice address fax:** (781) 459-2666
- **Mailing address:** 450 PROVIDENCE HWY \# 1093, DEDHAM, MA 02026-6815
- **Mailing address phone:** (781) 742-0834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 08/20/2025
