| NPI | 1558397695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINE M MERIDIEN Corporate Secretary 603-746-4164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 6975) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 0560732308) |
| 207R00000X Internal Medicine (Licence: NH 11415) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NH 6975) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: NH 6975) | |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-31 |