| NPI | 1225773518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE ETENG Dnp, Pmhnp Bc/President 774-479-6361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-05-01 |
| Last Update Date | 2024-08-09 |