| NPI | 1053985101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM GILMAN Advanced Practice Registered Nurse 603-548-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-05-27 |