| NPI | 1821406943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA TAYLOR GREYWOLF Nurse Practitioner 603-380-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: HI 1454) |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2014-08-01 |