| NPI | 1063700292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN OPTIONAL MACBEAN Managing Member 603-465-2235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NH 880) |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2011-11-10 |