| NPI | 1508238783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA FERNALD Owner 603-569-5818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NH 0816) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NH 1529) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |