| NPI | 1245163351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAPPA LORQUET Managing Member 508-840-0707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-06-08 |
| Last Update Date | 2026-08-25 |