| NPI | 1255114708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS WHITNEY DAVIDSON Program Director 603-912-7607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-17 |