| NPI | 1528347663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE E MCCORMACK Billing Manager 603-382-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |