| NPI | 1124814710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT TRENT BUSHEY Office Manager/Administrator 603-918-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-04-18 |