| NPI | 1558094805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL GRACE FOLGER Psychiatric Nurse Practitioner 774-644-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-05 |