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)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
03/20/2025
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