| NPI | 1548797228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ELDREDGE Owner 603-235-1489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NH 0981) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |