| NPI | 1346720646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE OLUSOLA AKINKUOYE President 508-733-5951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MA 233605) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2021-01-08 |