| NPI | 1215646039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL ALLEN HOWARD Ap RN 603-556-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2024-01-25 |