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Organization
FAHARI PSYCHIATRIC AND MENTAL HEALTH SERVICES
Active
Organization
FAHARI PSYCHIATRIC AND MENTAL HEALTH SERVICES
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYGORETTI WAIRIMU KIBE DNP (PMHNP-BC)
(774) 623-1241
Entity
Organization
Contact information
Practice address
352 W BOYLSTON ST STE 233, WEST BOYLSTON, MA 01583-2342
(774) 623-1241
Mailing address
352 W BOYLSTON ST STE 233, WEST BOYLSTON, MA 01583-2342
(774) 623-1241
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
03/20/2025
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