| NPI | 1386245546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L STUBBS CEO 603-319-8863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1100X Clinic/Center, Research |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2021-04-28 |