NPI | 1710693080 |
---|---|
Entity Type | Organization |
Authorized Contact | ALYSHA CUTTS CEO 603-782-9691 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2023-01-30 |
Last Update Date | 2023-01-30 |