| NPI | 1336912286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SADAT Owner 603-714-9474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-12-06 |