| NPI | 1578325437 |
|---|---|
| Former Legal Business Name | TETRA BEHAVIORAL SERVICES PLLC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SARAH WAITHIRA Nurse Practitioner 508-933-9665 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |