| NPI | 1578253738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE SMITH Nurse Practitioner 603-759-7436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-05-11 |