| NPI | 1881322980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TAWA Managing Psychiatric Np 603-930-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |