NPI | 1013642578 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON HOWES President 978-771-6368 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2022-07-19 |
Last Update Date | 2022-07-19 |