| NPI | 1255888434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E DILLON Nurse Practitioner/Sole Member 603-866-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NH 046771-23) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NH 046771-23) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |