| NPI | 1194404657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE SENEY Psychiatric Np/Manager 508-635-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-12-02 |