NPI | 1104608074 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAFIKE GASANA Director Of Clinic 603-497-1238 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-10-16 |
Last Update Date | 2023-10-16 |