| NPI | 1083236988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA CONSTANCE FALLON Social Worker 603-682-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QM0801X |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-08-09 |