| NPI | 1194590927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIDA NCHAW CEO 508-250-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-29 |