Warrior'S Path
Psychiatry & Neurology, Psychiatry in Attleboro, MA. Organization (NPI-2).
NPI number1982120572
StatusActive
Last updated in NPPESJun 16, 2018
Details
- NPI
- 1982120572
- Entity type
- Organization (NPI-2)
- Legal business name
- Warrior'S Path
- Organization subpart
- No
- Enumeration date
- Aug 16, 2017
- Last updated
- Jun 16, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 246627 | MA | Yes |
| 101YM0800X | Counselor, Mental Health | 000010244 | MA |
Practice location
200 S Main StAttleboro, MA 02703-4006
Phone 508-921-0119
Mailing address
258-A Main Street#326
Medfield, MA 02052
Authorized official
Larisa Kouperschmidt
Medical Director
6179210119
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