NPI | 1134508443 |
---|---|
Other Name | MH HEALTH CARE SERVICES AT BAF |
Entity Type | Organization |
Authorized Contact | NANCY CARLSON President 802-857-0400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Enumeration Date | 2015-05-20 |
Last Update Date | 2015-05-20 |