| NPI | 1457716169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARDER EDWARDS Owner 603-828-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8000) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2015-12-22 |