NPI | 1295274694 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA SADAT Owner 603-310-5027 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 07484923) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 07497723) |
Enumeration Date | 2017-02-17 |
Last Update Date | 2017-02-17 |