Organization
UNITAS HEALTHCARE SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROOSEVELT LEWIS III NURSE PRACTITIONER (NURSE PRACTITIONER / OWNER)
(617) 401-7441
Entity
Organization
Contact information
Practice address
1208 VFW PKWY STE 301, BOSTON, MA 02132-4344
(617) 401-7441
(617) 203-6651
Mailing address
1208 VFW PKWY STE 301, BOSTON, MA 02132-4344
(617) 401-7441
(617) 203-6651
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251E00000X
Home Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/10/2018
Last updated
01/21/2021
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