| NPI | 1386446037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COMFORT SOWALE Owner Of Entity 781-243-5206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |