| NPI | 1023742947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRHENE K OSAGIE President 781-205-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2022-07-15 |