| NPI | 1588085690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M ELWART Executive Director 603-516-8170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-12-17 |
| Last Update Date | 2021-07-22 |