| NPI | 1326636903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTYN B SIEVE Clinical Psychologist 603-498-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2021-01-08 |