NPI | 1003438441 |
---|---|
Entity Type | Organization |
Authorized Contact | CHIGOZIRI OJUKA Nurse Practitioner 508-812-0706 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2020-05-07 |
Last Update Date | 2020-05-07 |