| NPI | 1568055572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVERY COLLEEN ALLEN Co Owner 603-801-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-02-23 |