| NPI | 1306677505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LYN SHEEHAN Head Of Practice 508-340-8347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2024-10-15 |