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 |