| NPI | 1366908113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART DEREK SCOTT Owner 603-333-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |