| NPI | 1053130617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHRYN ANN DESPINS Member 603-729-0322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2025-05-23 |