| NPI | 1427729516 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JAROD BOISSONNEAULT Director Of Revenue Cycle Mgt 603-319-6223  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care | 
| Enumeration Date | 2021-09-28 | 
| Last Update Date | 2021-09-28 |