| NPI | 1174070080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M POLLARD Director Of Operations 603-841-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 176B00000X Midwife | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2023-06-07 |