| NPI | 1245291350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY PRIMEAU Administrator 603-663-3580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NH 02840) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2016-01-07 |