| NPI | 1841180163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE STEPHANIE GOOD Owner 603-401-1859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-08 |
| Last Update Date | 2025-08-07 |