| NPI | 1093086068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC SPOFFORD CEO 603-231-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-31 |