| NPI | 1255713590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS AP MUNSON Clinician/Owner 603-767-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CT 008130) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2015-06-23 |