| NPI | 1164317723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY WABIK-RIVERA FORD Owner 603-931-9750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-12 |
| Last Update Date | 2025-06-12 |