| NPI | 1225689532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DELGIUDICE Owner 603-533-1873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2021-06-14 |