| NPI | 1538602701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN GAGNE Chief Operating Officer 603-438-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2017-03-07 |