NPI | 1043749666 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH REVELS Founder, Managing Clinician 603-659-0202 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103G00000X Clinical Neuropsychologist | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC1900X Psychologist, Counseling | |
103TP2701X Psychologist, Group Psychotherapy | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2017-06-07 |
Last Update Date | 2017-06-07 |