| NPI | 1285883249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL M DAWSON Director 603-882-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy (Licence: NH 6990803) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NH 2460) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |