| NPI | 1790234532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S HILTZ CEO 603-343-6352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ME CNP131102) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |