| NPI | 1891179776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPHINE BANIGO Njurse Practitioner 508-826-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MA 218062) |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |