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 |