| NPI | 1497079776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA O'SHEA Medical Director 603-821-7788 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NH 043591-23) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2010-03-16 |