| NPI | 1003373069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD ROLPH Member/Manager 508-435-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2019-02-26 |
| Last Update Date | 2019-02-26 |