| NPI | 1346969540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYNE MBURU- GERENA Owner 413-242-6010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-10-03 |