| NPI | 1548657018 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DEBRA S MACLEAN Psychiatric Nurse Practitioner/Owne 603-921-1653  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 071198-23)  | 
| Enumeration Date | 2015-04-22 | 
| Last Update Date | 2015-08-03 |