| NPI | 1225756190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CATHERINE ROSKIN Manager 508-202-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2025-05-19 |