| NPI | 1225881840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER R SMITH Business Owner 603-491-0839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |