| NPI | 1093520157 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA MOFFORD Psychiatric Nurse Practitioner 508-986-9014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-02-07 |
| Last Update Date | 2025-10-02 |