| NPI | 1528814498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN TANNER Nurse Practitioner, Owner 508-978-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-04-30 |
| Last Update Date | 2024-10-07 |