| NPI | 1124700026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACKENZIE R SEELY Owner Operator 603-581-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |