NPI | 1396577599 |
---|---|
Doing Business As | KEASCHE PSYCHIATRY |
Entity Type | Organization |
Authorized Contact | ZAKISHA A GODFREY Psychiatric Nurse Practitioner 781-214-1166 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-08-15 |
Last Update Date | 2024-08-15 |