| NPI | 1376366021 |
|---|---|
| Doing Business As | ROOTED WILLOW PSYCHIATRY |
| Entity Type | Organization |
| Authorized Contact | LISA CAROLYN POIRIER Pmhnp Owner Of Rooted Willow 571-536-2935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-01 |
| Last Update Date | 2024-11-01 |