NPI | 1356178941 |
---|---|
Doing Business As | RAINBOW BEHAVIORAL HEALTHWATCH PLLC |
Entity Type | Organization |
Authorized Contact | EDITH TAKERE CEO/Owner 617-316-6776 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-09-17 |
Last Update Date | 2024-09-17 |