| NPI | 1538821160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON F DAVIDSON Clinical Social Worker 603-329-2719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2021-10-11 |