NPI | 1083617013 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTEN MCCRACKEN President CEO 603-626-9500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2023-07-19 |