| NPI | 1265820492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TANNER OLGIATI Licensed Clinical Social Worker 603-998-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NH 1771) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2014-12-22 |