| NPI | 1366900219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D LEE President 603-788-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2021-04-27 |