| NPI | 1073354429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FINNEGAN Partner 475-685-1938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health | |
| 133V00000X Dietitian, Registered | |
| 171400000X Health & Wellness Coach | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2025-12-03 |