| NPI | 1033703848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AYODEJI OKORAFOR Practice Owner 781-222-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2024-03-11 |