| NPI | 1801266952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA M RAPOSO Psychiatric Nurse Practitioner 774-202-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2278891) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2016-05-04 |