NPI | 1316198690 |
---|---|
Entity Type | Organization |
Authorized Contact | CLAIRE M OLIVIER President 508-971-3923 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 900065) |
Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: MA 191170) |
Enumeration Date | 2008-10-06 |
Last Update Date | 2020-02-04 |