| NPI | 1093080707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL KEENE President/CEO 603-934-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2021-05-06 |