| NPI | 1427659986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN MALLON Psychiatric Nurse Practitioner 603-852-0639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |