| NPI | 1013679422 |
|---|---|
| Doing Business As | JAMES FORRESTALL, LICSW |
| Entity Type | Organization |
| Authorized Contact | JAMES FORRESTALL Owner 603-668-0255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |