| NPI | 1548058068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON BOWLES Manager 603-506-6678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-28 |