Organization
INTRAHEALTH ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL NGANYE (OWNER)
(781) 535-2317
Entity
Organization
Contact information
Practice address
88 ARTHUR ST, BROCKTON, MA 02302-1803
(774) 433-8837
(614) 505-2870
Mailing address
88 ARTHUR ST, BROCKTON, MA 02302-1803
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
11/04/2024
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