| NPI | 1427588177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M FREDETTE Provider/Owner 603-312-0814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2024-10-03 |