| NPI | 1033080825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND MWANJE Owner / Authorized Official 781-488-7406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-10-19 |