| NPI | 1598302523 |
|---|---|
| Doing Business As | INNATE THERAPEUTIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | MELYSSA MANOCK Owner 603-724-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-01-13 |