| NPI | 1598472789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CROWELL Owner 603-696-7142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-10-28 |
| Last Update Date | 2025-08-01 |