| NPI | 1740918549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DILYS POKU-MENSAH Nurse Practitioner/Staff 508-593-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-12-13 |