| NPI | 1114607264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RENEE COUTURE Executive Director 603-570-2026 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 225800000X Recreation Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2023-07-24 |