| NPI | 1235338492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN LILLIA KENNEDY Therapist 603-344-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NH 397) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2009-08-25 |