| NPI | 1013210095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE CHAPMAN Medical Director 603-898-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NH 063837-23) |
| Enumeration Date | 2010-12-13 |
| Last Update Date | 2010-12-13 |