NPI | 1477067700 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA MIFFITT Member 603-460-5504 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2017-11-22 |
Last Update Date | 2017-11-22 |