| NPI | 1831988195 | 
|---|---|
| Other Name | CRAIG IANNOTTI | 
| Entity Type | Organization | 
| Authorized Contact | CRAIG IANNOTTI Co Owner 978-225-3211 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2025-05-03 | 
| Last Update Date | 2025-06-23 |