| NPI | 1083584767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE PEREIRA Clinical Director 508-965-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-07 |
| Last Update Date | 2025-11-07 |