| NPI | 1609244789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNE BRESNAHAN-BALL Owner 603-965-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0589) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA 623) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2015-09-08 |