| NPI | 1366027609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GARCA Patient Account Director 603-749-2346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |