| NPI | 1134909070 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KIMBERLY MEURILLON Mental Health Counselor 603-452-7024  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health | 
| Enumeration Date | 2023-09-28 | 
| Last Update Date | 2023-10-11 |