| NPI | 1952823130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WATRAS WRIGHT Owner, Sole Proprieter 339-707-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2260842) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-09-28 |