| NPI | 1871036020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYTHAM MOHAMED President 774-633-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2025-03-08 |