| NPI | 1124407200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA ROSE BLAIS-LONES Billing Assistant 603-880-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225700000X Massage Therapist |
| 363LF0000X Nurse Practitioner Family | |
| 104100000X Social Worker | |
| 101YM0800X Counselor Mental Health | |
| 111NN1001X Chiropractor Nutrition | |
| 171100000X Acupuncturist | |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2024-04-18 |