| NPI | 1295541415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HILDENBRAND CFO 603-663-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |