| NPI | 1205259595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH VICENTE Social Worker 603-731-3173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NH 1531) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2014-01-23 |