| NPI | 1144246612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN BIGELOW FORMICA Member 603-673-6643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 91) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: NH LLP#8) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2025-09-11 |