| NPI | 1366730723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WILLIAMS Member 603-232-4025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NH 469) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NH 531) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: NH 01468723) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2011-07-19 |