| NPI | 1881104826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WELDON Owner/Provider 603-836-5584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 064788-23) |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2022-08-24 |