| NPI | 1235170549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MACLEOD CEO 603-536-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2021-07-27 |