| NPI | 1538804612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN POWELL President, Treasurer, Secretary 603-828-3759 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-09-07 |