| NPI | 1073038758 |
|---|---|
| Former Legal Business Name | WHITE MOUNTAIN WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | HOLLY ENGELMAN Nurse Practitioner 928-800-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2024-05-20 |