| NPI | 1396251229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E DONOVAN Chief Operating Officer 603-475-7833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |