| NPI | 1275227480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIDA NCHAW Owner 508-250-8378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent |
| Enumeration Date | 2023-06-08 |
| Last Update Date | 2023-11-29 |