| NPI | 1497944623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME CORWIN VP Hr 603-226-7505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2020-01-31 |