| NPI | 1174974505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA PAULA CALL Manager 603-272-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 12448) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NH 16062) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 070693-23) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 057528-23) | |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-06-27 |