| NPI | 1346436490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRA ANN WELCH Member/Manager/Owner 603-224-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-09-22 |
| Last Update Date | 2008-04-20 |