| NPI | 1184321499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYSON PRATT Executive Director 603-258-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2024-01-11 |