| NPI | 1134838287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN ELIZABETH ROSS Manager 603-483-5105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2025-04-29 |