| NPI | 1497099212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA INFANTE Office Manager 603-606-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 1684) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NH 0820) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2012-11-16 |