| NPI | 1477199081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE NICE Executive Director 603-623-8778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2021-01-15 |