| NPI | 1164226528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HOGAN President 603-241-2406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 291U00000X Clinical Medical Laboratory | |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-21 |