| NPI | 1336614478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY WOLTER President 603-353-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 104100000X Social Worker |
| 2084A0401X Psychiatry & Neurology Addiction Medicine | |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 385HR2060X Respite Care Respite Care, Mental Retardation and/or Developmental Disabilities | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 253Z00000X In Home Supportive Care | |
| 208D00000X General Practice | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2025-06-04 |