| NPI | 1457336604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DILALLA Vice President 603-531-2657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2024-03-01 |