| NPI | 1083008312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDYTH A LEAVITT CEO 603-903-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0631) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NH 1514) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |