| NPI | 1144956194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE M EUSTACHE Nurse Practitioner/Manager 603-825-5342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-07-30 |
| Last Update Date | 2023-04-11 |