| NPI | 1619746278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIOMA WINIFRED WATERS Sole Member 781-469-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2023-12-25 |