| NPI | 1053270967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURINE KISOB Executive Director 508-297-8603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health |
| Enumeration Date | 2026-01-16 |
| Last Update Date | 2026-02-16 |