| NPI | 1023463965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC VAN LUEVEN Medical Director 603-444-5358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NH 1135) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |