# INTRAHEALTH ALLIANCE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619655800
- **Authorized official:** ABIGAIL NGANYE (OWNER)
- **Authorized official phone:** (781) 535-2317

## Contact information

- **Practice address:** 88 ARTHUR ST, BROCKTON, MA 02302-1803
- **Practice address phone:** (774) 433-8837
- **Practice address fax:** (614) 505-2870
- **Mailing address:** 88 ARTHUR ST, BROCKTON, MA 02302-1803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2023
- **Last updated:** 11/04/2024