| NPI | 1487392999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNABEL FORTIER Clinical Mental Health Counselor 603-969-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2022-05-24 |