| NPI | 1346029139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN CZARNEC Member 603-913-3135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2023-10-13 |