| NPI | 1508133125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK A AGISIM Cheif Medical Officer 603-357-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: NH 057994-21) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |