| NPI | 1467436089 |
|---|---|
| Former Legal Business Name | AVIS GOODWIN COMMUNITY HEALTH |
| Entity Type | Organization |
| Authorized Contact | JANET MARIE ATKINS Executive Director 603-956-0063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2012-09-26 |