| NPI | 1033574058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE EVE MOREAU Owner 603-498-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NH 0788) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |