NPI | 1619860657 |
---|---|
Entity Type | Organization |
Authorized Contact | RAHIMETOU MBOUOMBOUO Pmhnp 978-662-1056 |
Organization Subpart ? | No |
Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health |
Enumeration Date | 2025-05-29 |
Last Update Date | 2025-05-29 |