| NPI | 1255949129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BOOKMAN Owner/Practitioner 603-945-9787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-07-16 |