Organization Name: | MHM HEALTH PROFESSIONALS, INC |
NPI Number: | 1073904140 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOM GROBLEWSKI (STATEWIDE MEDICAL DIRECTOR) |
Mailing Address: | Havard Road Shirley |
State: | MA US |
Postal Code: | 01464 |
Phone Number: | 9784254341 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2015 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 2269378 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |