| NPI | 1134077829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRANDA JO BRYANT Ap RN, Pmhnp C, Owner 207-249-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2026-03-18 |
| Last Update Date | 2026-03-18 |