| NPI | 1407589070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA LEIGH GAGNON Director Of Revenue Cycle Operation 603-740-3205 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2022-07-01 |