NPI | 1760025381 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD M ORLUK President 508-469-0025 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
Enumeration Date | 2019-10-27 |
Last Update Date | 2025-01-23 |