| NPI | 1275376857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH MCVICAR Owner 603-387-1386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-06-13 |
| Last Update Date | 2024-06-13 |