| NPI | 1215554779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY R PRATT Admin 603-400-6345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2025-10-13 |