| NPI | 1457883779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS CLARK TAMPOSI Owner 603-325-0954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NH 707) |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2017-03-28 |