| NPI | 1972373215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE S JOHNSON Nurse Practitioner 413-588-2077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-08 |