| 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 |