| NPI | 1144085127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA LECLERC Owner 603-703-4079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-08-16 |