| NPI | 1093931479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES J FOSTER Director 603-668-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2014-05-09 |