| NPI | 1063772028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS L GENO Clinical Director/Owner 603-668-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 720) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |