| NPI | 1821958463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE KELLEY Practice Owner 508-918-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-11-17 |
| Last Update Date | 2025-12-13 |