| NPI | 1427653914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY BAKER Nurse Practitioner/Owner 508-523-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |