| NPI | 1134745284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER B MULCAHY Owner 603-210-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |